{
  "schemaVersion": 3,
  "entityId": "pe-tracker-032004",
  "canonicalName": "CORNERSTONE SPECIALTY HOSPITALS TUCSON",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "CORNERSTONE SPECIALTY HOSPITALS TUCSON is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for OTERO COUNTY HOSPITAL ASSOCIATION. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "032004",
    "npi": "1861450579",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "OTERO COUNTY HOSPITAL ASSOCIATION",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "CHRISTUS SOUTHERN NEW MEXICO",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scionhealth-pe-tracker-032004",
      "from_entity_id": "ScionHealth",
      "to_entity_id": "pe-tracker-032004",
      "relationship_type": "owns",
      "effective_date": "January 2023",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies ScionHealth in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "January 2023",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "pe-tracker-032004-net_patient_revenue-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "8287855",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-net_patient_revenue-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "15023143",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-net_patient_revenue-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "18295405",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-operating_expense-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "operating_expense",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "13815990",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-operating_expense-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "operating_expense",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "16445288",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-operating_expense-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "operating_expense",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "16463656",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-net_income-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "net_income",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "-5036290",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-net_income-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "net_income",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "-1220337",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-net_income-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "net_income",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "2349476",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-total_assets-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "total_assets",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "4010885",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-total_assets-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "total_assets",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "3695549",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-total_assets-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "total_assets",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "3633729",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-total_liabilities-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "10926250",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-total_liabilities-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "5574629",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-total_liabilities-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "3248160",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-fte_employees-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "fte_employees",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "65.4",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-fte_employees-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "fte_employees",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "84.8",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-fte_employees-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "fte_employees",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "84.29",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-beds-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "beds",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "34",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-beds-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "beds",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "34",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-beds-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "beds",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "34",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-patient_days-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "patient_days",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "5461",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-patient_days-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "patient_days",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "8251",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-patient_days-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "patient_days",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "10494",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-discharges-08-31-2024",
      "entity_id": "pe-tracker-032004",
      "metric_name": "discharges",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "240",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-discharges-08-31-2023",
      "entity_id": "pe-tracker-032004",
      "metric_name": "discharges",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "407",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-032004-discharges-08-31-2022",
      "entity_id": "pe-tracker-032004",
      "metric_name": "discharges",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "532",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "CHRISTUS HEALTH",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "07/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NORMAN ARNOLD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2011",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SAM BAGCHI",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PAUL GENERALE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "REUBEN MURRAY",
      "role": "CORPORATE OFFICER",
      "association_date": "09/10/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "REUBEN MURRAY",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "09/10/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KIMBERLY WEBB",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RANDOLPH SAFADY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "REX WILSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/01/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AUDREY WEBBER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT MARTINEZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: ScionHealth.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker."
  ],
  "unavailableFields": [
    "Official facility URL",
    "Current CMS overall rating"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:pe-tracker-032004",
        "label": "CORNERSTONE SPECIALTY HOSPITALS TUCSON",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:chg-hospital-operations-company-llc",
        "label": "CHG HOSPITAL OPERATIONS COMPANY LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:christus-health:0",
        "label": "CHRISTUS HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:norman-arnold:1",
        "label": "NORMAN ARNOLD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:sam-bagchi:2",
        "label": "SAM BAGCHI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:paul-generale:3",
        "label": "PAUL GENERALE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:reuben-murray:4",
        "label": "REUBEN MURRAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:reuben-murray:5",
        "label": "REUBEN MURRAY",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:kimberly-webb:6",
        "label": "KIMBERLY WEBB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:randolph-safady:7",
        "label": "RANDOLPH SAFADY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:rex-wilson:8",
        "label": "REX WILSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:audrey-webber:9",
        "label": "AUDREY WEBBER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:robert-martinez:10",
        "label": "ROBERT MARTINEZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:chg-hospital-operations-company-llc",
        "from": "organization:apollo-global-management",
        "to": "organization:chg-hospital-operations-company-llc",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:chg-hospital-operations-company-llc->facility:pe-tracker-032004",
        "from": "organization:chg-hospital-operations-company-llc",
        "to": "facility:pe-tracker-032004",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:christus-health:0->facility:pe-tracker-032004",
        "from": "cms-owner:christus-health:0",
        "to": "facility:pe-tracker-032004",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2023"
      },
      {
        "id": "cms-owner:norman-arnold:1->facility:pe-tracker-032004",
        "from": "cms-owner:norman-arnold:1",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2011"
      },
      {
        "id": "cms-owner:sam-bagchi:2->facility:pe-tracker-032004",
        "from": "cms-owner:sam-bagchi:2",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2023"
      },
      {
        "id": "cms-owner:paul-generale:3->facility:pe-tracker-032004",
        "from": "cms-owner:paul-generale:3",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2023"
      },
      {
        "id": "cms-owner:reuben-murray:4->facility:pe-tracker-032004",
        "from": "cms-owner:reuben-murray:4",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/10/2025"
      },
      {
        "id": "cms-owner:reuben-murray:5->facility:pe-tracker-032004",
        "from": "cms-owner:reuben-murray:5",
        "to": "facility:pe-tracker-032004",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 09/10/2025"
      },
      {
        "id": "cms-owner:kimberly-webb:6->facility:pe-tracker-032004",
        "from": "cms-owner:kimberly-webb:6",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2023"
      },
      {
        "id": "cms-owner:randolph-safady:7->facility:pe-tracker-032004",
        "from": "cms-owner:randolph-safady:7",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2023"
      },
      {
        "id": "cms-owner:rex-wilson:8->facility:pe-tracker-032004",
        "from": "cms-owner:rex-wilson:8",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 05/01/2019"
      },
      {
        "id": "cms-owner:audrey-webber:9->facility:pe-tracker-032004",
        "from": "cms-owner:audrey-webber:9",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:robert-martinez:10->facility:pe-tracker-032004",
        "from": "cms-owner:robert-martinez:10",
        "to": "facility:pe-tracker-032004",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/01/2016"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 18295405,
      "latestValue": 8287855,
      "absoluteChange": -10007550,
      "percentChange": -54.69980030504927,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 16463656,
      "latestValue": 13815990,
      "absoluteChange": -2647666,
      "percentChange": -16.08188363508081,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 2349476,
      "latestValue": -5036290,
      "absoluteChange": -7385766,
      "percentChange": -314.35801004138796,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 3633729,
      "latestValue": 4010885,
      "absoluteChange": 377156,
      "percentChange": 10.379310069628197,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 3248160,
      "latestValue": 10926250,
      "absoluteChange": 7678090,
      "percentChange": 236.38275208117827,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 84.29,
      "latestValue": 65.4,
      "absoluteChange": -18.89,
      "percentChange": -22.410724878396014,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 34,
      "latestValue": 34,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 10494,
      "latestValue": 5461,
      "absoluteChange": -5033,
      "percentChange": -47.96073947017343,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 532,
      "latestValue": 240,
      "absoluteChange": -292,
      "percentChange": -54.88721804511278,
      "unit": "discharges"
    }
  ]
}